湿热蒸人夏日长，气虚体弱热因伤。胸中气促四肢倦，心烦食少不如常。好卧口干或泄泻，清暑益气法无
忌。若还盗汗不时出，煎服可加浮小麦。便赤山桅滑石宜，口渴乌梅花粉吃。头痛川芎与石膏，嗽加杏石升苍细
（用杏仁、石膏而去升麻、苍术）。木香砂仁胸不舒，泻可茯苓肉蔻益。
东南地卑恒多湿，居民感受病非一。或涉水中雨露蒸，或过饮冷因而得。小便短赤身体重，骨肉酸麻行不
疾。渐加浮肿及身黄，燥土
渗湿汤可则。茯苓香附半陈皮，川朴泽猪苍白术。引用砂仁并枣姜，临服半匙盐可入（炒飞
盐）。外湿寒热身肿痛，羌活防通加有力。内湿胸满兼呕吐，喘胀腹膨用枳实。川连山楂炒
菔子，溺闭车前木通益。湿热发黄仗茵陈，山栀车前兼滑石。丹溪云湿得燥收，苍术为先不
可却。湿从风散独羌须，湿久生热连栀吃。麻黄可用不宜多，汗甚变端恐莫测。
陈曰∶湿阻上焦宜开肺气，佐淡渗通膀胱，即启上闸，开支河，导水势下行之理。《内
经》云∶脾窍在舌，邪滞窍必少灵致，语言欲謇，法当分利，佐辛香以默运坤阳，是太阴里症治法。
仲景云∶湿家大忌发散，汗之则变痉厥。切记。
脾阳不运，湿滞中焦，宜用术朴姜半以温通之，苓泽腹皮滑石以淡渗之（陈又注）。
湿热之气蒸腾人体，夏日漫长，气虚体弱之人易受热邪损伤。表现为胸中气短促、四肢倦怠，心烦意乱、食欲减退，状态不如往常。喜欢躺卧、口干或伴有泄泻，采用清暑益气的治法没有禁忌。如果还有盗汗不时发作，煎药时可加入浮小麦。小便赤红适合用山栀和滑石，口渴可服用乌梅和天花粉。头痛可用川芎和石膏，咳嗽加杏仁和石膏（去掉升麻和苍术）。胸闷不舒可用木香和砂仁，腹泻可加茯苓和肉豆蔻来改善。
东南地区地势低洼，常年多湿，居民感受湿邪后病症不一。有的涉水淋雨受湿气蒸熏，有的因过量饮用冷饮而致病。小便短少色赤、身体沉重，骨肉酸麻、行动迟缓。逐渐出现浮肿及全身发黄，使用燥土渗湿汤可以治疗。方含茯苓、香附、半夏、陈皮、厚朴、泽泻、猪苓、白术、苍术。引用砂仁和大枣、生姜，服药前可加入半匙盐（炒制飞过的盐）。外感湿邪导致寒热、身肿疼痛，羌活、防风、通草等药力较强者适宜加入。内湿导致胸满兼呕吐，气喘腹胀膨隆用枳实。黄连、山楂、炒莱菔子，小便闭塞用车前子和木通有益。湿热发黄依靠茵陈，配合山栀、车前子和滑石。丹溪说湿邪得燥则收敛，苍术为首选不可去除。湿邪随风散除独需羌活，湿久生热需服用黄连和山栀。麻黄可用但不宜多用，出汗过多变证恐怕难以预测。
陈氏说：湿阻上焦宜开宣肺气，佐以淡渗利湿通利膀胱，这就是“启上闸，开支河”，引导水势下行的道理。《内经》说：脾的窍穴在舌，邪气阻滞窍道必然导致感官失灵，致使语言欲言又涩，治法应当分利湿邪，佐以辛香药物默默运化太阴脾阳，这是太阴里证的治法。仲景说：患湿病的人最忌发散，发汗则会变为痉厥。切记。
Damp-heat steams the human body, and in the long summer days, those with Qi deficiency and weak constitutions are easily injured by heat. Symptoms include shortness of breath in the chest, fatigue in the four limbs, irritability, poor appetite, and a condition worse than usual. There is a preference for lying down, dry mouth, or diarrhea; the method of clearing summerheat and benefiting Qi has no contraindications. If night sweats occur intermittently, floating wheat (Fumai) can be added to the decoction. For dark red urine, Gardenia (Zhizi) and Talcum (Huashi) are suitable; for thirst, Chinese Plum (Wumei) and Trichosanthes Root (Tianhuafen) should be taken. For headache, Ligusticum Chuanxiong Rhizome (Chuanxiong) and Gypsum (Shigao) are used; for cough, add Almond (Xingren) and Gypsum (Shigao), removing Ephedrae Herba (Mahuang) and Atractylodis Rhizoma (Cangzhu). For chest discomfort, Aucklandiae Radix (Muxiang) and Amomi Fructus (Sharen) are used; for diarrhea, Poria (Fuling) and Myristica Seed (Roukou) help improve it.
The southeast region is low-lying and perpetually damp; residents contracting dampness present with various diseases. Some contract it wading through water or being steamed by rain and dew; others get it from excessive consumption of cold drinks. Urine is scanty and dark red, the body feels heavy, bones and muscles ache and numb, and movement is slow. Gradually, edema and jaundice appear; Zao Tu Shen Shi Tang (Dry Earth Damp-Draining Decoction) is indicated. The formula contains Poria (Fuling), Cyperi Rhizoma (Xiangfu), Pinelliae Tuber (Ban), Citri Reticulatae Pericarpium (Chenpi), Magnoliae Officinalis Cortex (Houpo), Alismatis Rhizoma (Zexie), Polyporus (Zhuling), Atractylodis Macrocephalae Rhizoma (Baizhu), and Atractylodis Rhizoma (Cangzhu). Use Amomi Fructus (Sharen), Jujubae Fructus (Zao), and Zingiberis Rhizoma Recens (Shengjiang) as guides; before taking, half a spoonful of salt (roasted and washed) can be added. For external dampness causing chills, fever, swelling, and pain, Qianghuo, Fangfeng, and Tongcao have strong efficacy and are suitable. For internal dampness causing chest fullness and vomiting, for wheezing and abdominal distension, Aurantii Fructus Immaturus (Zhishi) is used. Coptidis Rhizoma (Chuanlian), Crataegi Fructus (Shanzha), and fried Raphani Fructus (Laifuzi); for urinary retention, Plantaginis Semen (Cheqianzi) and Akebiae Caulis (Mutong) are beneficial. For damp-heat jaundice, Yinchen relies on Artemisiae Scopariae Herba (Yinchen), combined with Gardenia (Zhizi), Plantaginis Semen (Cheqianzi), and Talcum (Huashi). Danxi said that dampness is consolidated by dryness; Atractylodis Rhizoma (Cangzhu) is the priority and cannot be discarded. Dampness dispersed by wind requires Qianghuo alone; if dampness persists and generates heat, Coptidis Rhizoma (Huanglian) and Gardenia (Zhizi) should be taken. Ephedrae Herba (Mahuang) can be used but not in large amounts, as excessive sweating may lead to unpredictable changes.
Mr. Chen said: When dampness obstructs the Upper Jiao, one should open Lung Qi, assisted by bland-draining herbs to unblock the Bladder, following the principle of "opening the upper sluice and branching rivers" to guide water flow downward. The *Neijing* states: The orifice of the Spleen is the tongue; when pathogens stagnate in the orifice, sensitivity is lost, leading to slurred speech. The treatment method should involve separating and draining dampness, assisted by acrid-aromatic herbs to silently transform Taiyin Spleen Yang. This is the treatment method for Taiyin interior syndromes. Zhang Zhongjing said: Patients with dampness strictly avoid diaphoresis; inducing sweat will lead to tetany and syncope. Remember this well.
When Spleen Yang fails to transport and dampness stagnates in the Middle Jiao, use Atractylodis Rhizoma (Cangzhu/Baizhu), Magnoliae Officinalis Cortex (Houpo), Zingiberis Rhizoma (Ganjiang), and Pinelliae Tuber (Ban) to warm and unblock it; use Poria (Fuling), Alismatis Rhizoma (Zexie), Benincasae Exocarpium (Fupi), and Talcum (Huashi) to drain it blandly (Mr. Chen also annotated).